While your fT4 is strong above mid-range, I suspect that fT3 is below mid-range and/or elevated rT3 is blocking some of the active hormone fT3. TSH should be closer to 1.0 and your TSH suggests lower fT3 receptor activation.
Your iodine intake may be OK, but often is not in UK as many shops do not carry iodized salt.
Check oral body temps as discussed later on to better understand your thyroid function status.
Elevated AST/ALT can be from sore muscles from training. Be fully recovered next time. CRP points to inflammation some where and inflammation is harmful.
Any unexpected rashes?
With low energy, training with adrenalin is harmful to the adrenals. Cortisol should be tested as AM Cortisol at 8AM or 1 hour after waking. Your cortisol does not seem low.
While low SHBG can sometimes point to diabetes, your labs are great in that regard.
Your HTC is very strong for your T levels. With TRT you will need to watch that HTC and RBC do not get high. Note that your pasta and rice may be iron fortified, read labels.
Please read the stickies found here: About the T Replacement Category
- advice for new guys - need more info about you
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.
KSman is simply a regular member on this site. Nothing more other than highly active.
I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.
The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.